Nurse Care Manager

Summary

Join Included Health's Care and Case Management team as a California-based Nurse Care Manager. You will provide telephonic care management, guiding members through complex medical and behavioral health situations. Responsibilities include creating care plans, navigating benefits and resources, and partnering with providers to ensure coordinated care. You will need a CA RN license, BSN, CCM certification (or eligibility), and relevant experience. The role offers a remote-first culture and a comprehensive benefits package, including competitive pay, PTO, parental leave, and various other perks. You'll be part of a fast-growing company committed to improving healthcare access and quality. This position requires strong communication, clinical skills, and empathy.

Requirements

• Bachelor of Science in Nursing (BSN)
• Must have current CCM Certification or eligibility for exam in August 2025
• 5+ years of experience in nursing
• 2+ years experience working in care management
• Active California Nursing License
• Willingness to become (and maintain) licensure in multiple states
• Work schedule 9AM-6pm PST
• Be comfortable discussing several medical conditions and experience with populations across the age ranges
• Experience working remotely, and strong competence and ability to use multiple computer/medical record systems
• Be empathetic. We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them
• We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality
• Strictly follow security and HIPAA regulations to protect our patients' medical information
• Be pleasant, responsive, and willing to work with and learn from our team
• A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical
• Efficient at writing medical information in easy-to-understand, patient-centric language
• Prompt and regular attendance at assigned work location
• Capability to remain seated in a stationary position for prolonged periods
• Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment
• No heavy lifting is expected, though occasional exertion of about 20lbs of force (e.g., lifting a computer / laptop) may be required
• Capability to work with leadership, employees, and members in an appropriate manner

Responsibilities

• Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes
• Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals
• Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general
• Partner with the members' local providers to ensure coordinated care
• Provide compassionate, longitudinal follow-up care, building supportive relationships
• Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family
• Coordinate necessary resources that holistically address members' problems, whether clinical or social

Preferred Qualifications

Spanish speaking desirable

Benefits

• Remote-first culture
• 401(k) savings plan through Fidelity
• Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
• Full suite of Included Health telemedicine (e.g. behavioral health, urgent care, etc.) and health care navigation products and services offered at no cost for employees and dependents
• Generous Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
• 12 weeks of 100% Paid Parental leave
• Family Building Benefit with fertility coverage and up to $25,000 for Surrogacy & Adoption financial assistance
• Compassionate Leave (paid leave for employees who experience a failed pregnancy, surrogacy, adoption or fertility treatment)
• 11 Holidays Paid with one Floating Paid Holiday
• Work-From-Home reimbursement to support team collaboration and effective home office work
• 24 hours of Paid Volunteer Time Off ("VTO") Per Year to Volunteer with Charitable Organizations